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Dr. Robert Randolph Wallis, MD
Adult Medicine Physician in Bellaire, Texas
NPI 1295854974

Robert Randolph Wallis is an Adult Medicine Physician based in Bellaire, TX and is specialized in Adult Medicine. Robert Randolph Wallis practices in Bellaire, TX and has the professional credentials of MD. The NPI Number for Robert Randolph Wallis is 1295854974 and holds a License No. D9706 (Texas).

The current practice location address for Robert Randolph Wallis is 547 Lupin St, Bellaire, TX and can be reached out via phone at 713-665-0852.

Location: 547 Lupin St, Bellaire, TX, 77401-5023
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295854974
Provider Name
Robert Randolph Wallis
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
547 Lupin St, Bellaire, TX, 77401-5023
Phone Number
713-665-0852
Fax Number
Provider Enumeration Date
03/27/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
547 Lupin St
City
Bellaire
State
Texas
Zip
77401-5023
Phone Number
713-665-0852
Fax Number
person
Provider Business Mailing Address Details
Address
547 Lupin St
City
Bellaire
State
Texas
Zip
77401-5023
Phone Number
713-665-0852
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adult Medicine
Taxonomy
207QA0505X
License No.
D9706 (Texas)
Definition
Definition to come.
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